Organization
CARDIOPULMONARY SURGICAL CONSULTANTS PC
Active
Organization
CARDIOPULMONARY SURGICAL CONSULTANTS PC
Active
Other names
CVT Surgery Group
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VICKIE LYNN CUNNINGHAM (BILLING COORDINATOR)
(423) 929-7393
Entity
Organization
Contact information
Practice address
310 N STATE OF FRANKLIN RD, STE 101, JOHNSON CITY, TN 37604
(423) 929-7393
(423) 929-1427
Mailing address
310 N STATE OF FRANKLIN RD, STE 101, JOHNSON CITY, TN 37604
(423) 929-7393
(423) 929-1427
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3706826
—
TN
Enumeration date
03/27/2006
Last updated
08/22/2020
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